EDESON G DAMASCO TY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034053

License Status

EXPIRED

Business

First Name

EDESON

Middle

Last Name

DAMASCO TY

Business Name

EDESON G DAMASCO TY

Original Issue Date

04/27/1996

Effective Date

04/27/1996

Expiration Date

06/24/1999

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006